Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $301.75 / $501.66	Facility		$87.80	$301.75	$501.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $90.20 / $478.00	Professional		$66.00	$90.20	$478.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $46.00 / $60.00	Professional		$41.87	$46.00	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.57 / $227.07 / $509.85	Facility		$109.57	$227.07	$509.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.84 / $136.52	Professional		$40.00	$50.84	$136.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $120.27 / $791.96	Facility		$59.90	$120.27	$791.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $66.34 / $105.68	Professional		$46.45	$66.34	$105.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $131.30 / $327.27	Facility		$65.00	$131.30	$327.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $114.81 / $152.30	Professional		$47.78	$114.81	$152.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $100.00 / $110.00	Professional		$69.78	$100.00	$110.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $100.00 / $218.00	Professional		$80.00	$100.00	$218.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $475.00 / $475.00	Facility		$160.00	$475.00	$475.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $120.00 / $238.68	Facility		$65.00	$120.00	$238.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $96.86 / $120.00	Professional		$55.93	$96.86	$120.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $351.00 / $351.00	Professional		$351.00	$351.00	$351.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $80.00 / $100.00	Professional		$71.18	$80.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $43.17 / $168.73	Professional		$36.63	$43.17	$168.73